Professional Documents
Culture Documents
7-Nutrition-Intervention 9 0
7-Nutrition-Intervention 9 0
Intervention
1
Objectives
• What is nutrition intervention in emergency?
• What are domains in nutrition intervention
• What are the different assessments in nutrition
emergency?
• What are intervention modalities in nutrition
emergency?
• Explain food security interventions for the
different levels of food insecurity
• Shifting from project driven intervention to
development approach
2
Nutrition Intervention
• Nutrition intervention is defined as
purposefully planned actions intended to:
Positively change a nutrition-related
behavior,
Environmental condition, or
Aspect of health status for an individual,
target group, or the community at large.
• It consists of two components: planning and
implementation.
3
The Purpose of a Nutrition Intervention
4
Determining a Nutrition Intervention
• The nutrition diagnosis and its etiology drives
the selection of a nutrition intervention.
• Nutrition intervention strategies are selected
to change nutritional intake, nutrition-related
knowledge or behavior, environmental
conditions, or access to supportive care and
services.
• Nutrition intervention goals provide the basis
for monitoring progress and measuring
outcomes.
5
Nutrition Intervention Is Organized In 4
Domains
• Food and/or Nutrient Delivery-individualized
approach for food/nutrient provision.
• Nutrition Education-A formal process to
instruct or train a patient/client in a skill or to
impart knowledge
To help patients/clients voluntarily manage or
modify food, nutrition and
Physical activity choices and behavior to
maintain or improve health
6
Continued
• Nutrition Counseling-A supportive process,
characterized by a collaborative counselor-
patient relationship,
To establish food, nutrition and physical
activity priorities, goals, and
Individualized action plans that acknowledge
and foster responsibility for self-care to treat
an existing condition and promote health
7
Continued
• Coordination of Nutrition Care-Consultation
with, referral to, or
coordination of nutrition care with other
health care providers, institutions, or agencies
That can assist in treating or managing
nutrition-related problems
8
What are possible intervention options for each
of the nutrition issues ?
Nutrition Issues / Intervention Options
Problems
Low birth weight
Micronutrient
malnutrition
Household food
insecurity
9
Assessment of Nutritional Status in Emergency
10
Civil unrest
Logistic constraints
Affected population
How many people are affected
Mapping
Rough number of people
Structure of settlement
Interviews
Health professionals
CHWs
Local authorities
3-Surveys
18
Surveys of households
Wt, Ht, MUAC, edema
Questions about the previous months deaths
and causes of death
Distance of water supply
Target Bi-lateral
UN system donors
population
and other
Agencies
NGOs, Red Cross & other
A U S T R A L I A
LEGAL
ETHICAL OTHER
STANDARDS
UNICEF 10
1. Needs Assessment
27
Water
Drinking water is top priority
required
Poor and inadequate water is associated with
sanitation related diseases
Continued
29
Sanitation
In the first days of the displacement:
agreeable
5. Health Care
32
Intervention Strategies
Attack source of infection (e.g. curative care,
isolation etc)
Prevent transmission (e.g. environment sanitation,
personal hygiene etc)
Protect the susceptible (e.g. measles
immunisation, chemoprophylaxis, bed nets etc)
Continuous surveillance to detect epidemics and
to assess effectiveness of interventions
7.Co-ordination
34
require support.
In a famine situation, the primary goal is to ensure
survival, to reduce mortality.
Continued
41
45
Continued
46
also required.
Monitoring and Evaluation of GFD
Interventions
47
Geographical vulnerability
Political vulnerability
Children
Females
OVC
Disabled
Elderly
Poor
Pregnant and lactating
People in remote areas and Pastoralists
Shifting From Emergency Response To
Development Approach
50
1) Rigorous assessment
2) Appropriate market support
3) Protecting essential assets
4) Easing vulnerable peoples ’ burdens
5)Timely interventions
6)Increasing protection for populations at risk of
displacement.
These principles can guide the need for a shift from
a project-driven approach to a systems response
that addresses the underlying causes of famine.
Interventions Should Target The
Different Layers Of Causes
52
Interventions and assessments at different
levels should be aligned
53
Examples of FNS indicators at different
levels
54
Examples of FNS data sources to assess the
FNS situation at different levels
55
Examples of FNS intervention at
different levels
56
Evolution of responses to Food insecurity
(Ethiopian Experience)
57
Social Protection
58
59
60
61
The change Model Food and Nutrition Policy
62
Long Term Strategies
63
Poverty Economic
Reduction Growth
Improved Social
Increased Child Sector
productivity Nutrition Investments
Enhanced
Human
Resource
Implementation #1
64
Top-down
Supplementation programs
Fortification
Food relief programs
Implementation #3
66
Planning
Implementation